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Rise Financial Partners
New Client Data Form

Client Profile

Advisor Name:

Date

Please take a minute to fill out our new client intake form. This data is required under Know Your Client (KYC) laws. Data is stored securely in our client management system.

Is this a multi-client form? (Example: Husband & Wife)

Personal Details

Client 1 First

Client 1 Last

Client 1 Email

Client 1 Phone

Client 1 Birthdate

U.S Citizen?

Yes

No

Client 1 SSN

Employment Status:

Occupation (Job Title):

Employer Name:

Annual Salary?

Home Street Address

APT/UNIT #

City

State (use abbreviation)

Zip code

Country

Client 2 First

Client 2 Last

Client 2 Email

Client 2 Phone

Client 2 Birthdate

U.S Citizen?

Yes

No

Client 2 SSN

Employment Status

Employer Name:

Occupation (Job Title):

Annual Salary?

Marital Status:

Number of Dependents

Anniversary

Net Worth and Income:

Annual Income

Under $25,000

$25,001 - $50,000

$50,001 - $100,000

$100,001 - $250,000

$250,001 - $500,000

Over $500,000

Net Worth (Exludes Primary Residence)

Under $50,000

$50,001 - $100,000

$100,001 - $500,000

$500,000 - $1M

$1M - $5M

Over $5M

Liquid Net Worth (Includes Cash/Securities)

Under $50,000

$50,001 - $100,000

$100,001 - $500,000

$500,000 - $1M

$1M - $5M

Over $5M

Source of Wealth

Employment Income

Inheritance

Retirement Savings

Real Estate

Business Revenue

Other

Legal/Insurance Settlement

Investment Experience (# ofYears)

Stocks

Bonds

Annuities

Options

Partnerships

Margin

Mutual Funds

Real Estate

Alternatives

Experience: Other

Trusted Contact Information?

Would you like to provide a trusted contact?

Contact First

Contact Last

Trusted Contact Email

Contact Phone

Investment Advice offered through Rise Financial Partners LLC | www.RiseWisely.com

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info@RiseWisely.com

Disclosures & Privacy Policy

Rise Financial Partners LLC (“RFP”) is a registered investment adviser offering advisory services in the State of Florida and in other jurisdictions where exempted from registration. Registration does not imply a certain level of skill or training. The presence of this website on the Internet shall not be directly or indirectly interpreted as a solicitation of investment advisory services to persons of another jurisdiction unless otherwise permitted by statute. Follow-up or individualized responses to consumers in a particular state by RFP in the rendering of personalized investment advice for compensation shall not be made without our first complying with jurisdiction requirements or pursuant an applicable state exemption.

All written content on this site is for information purposes only. Opinions expressed herein are solely those of RFP, unless otherwise specifically cited. Material presented is believed to be from reliable sources and no representations are made by our firm as to other parties’ informational accuracy or completeness. All information or ideas provided should be discussed in detail with an advisor, accountant or legal counsel prior to implementation.

All posts and comments are personal and conversational and are not meant to be recommendations in any way. Investors should seek professional advice before making any investment. Any discussion of markets, investments and asset classes is for discussion purposes only and should not be construed as a recommendation in any way. All investments have risk and may lose value. Past performance is not indicative of future results.

© 2023 Rise Financial Partners

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